Bacala, Heather

Bacala, Heather was paid $333K by Medicaid between Jan 2018 and Jun 2023, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.

33Billing provider infoBACALA, HEATHER
LAS VEGAS, NV 89149

33aNPI1114281706assigned 06/27/2012

33bProvider typeObstetrics & Gynecology Physician

28Total paid$333K

24GClaims6,780

24DCodes billed28

24AFirst – last monthJan 2018 – Jun 2023

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Nevada

Rank by total paid#15 of 159

Median peer was paid$15K

This provider vs. median22×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	577	$18K
2020	1,209	$53K
2021	3,747	$171K
2022	906	$77K
2023	341	$15K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	27%	1,797	1,527	$91K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	27%	1,335	988	$89K
59400	Routine obstetric care including antepartum care, vaginal delivery, and postpartum care	13%	30	26	$44K
76830	Ultrasound, transvaginal	8.5%	283	244	$28K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	7.2%	357	274	$24K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	5.5%	231	163	$18K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	4.5%	130	115	$15K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	2.1%	80	71	$7K
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	1.1%	93	52	$4K
A4550	Surgical trays	<1%	384	249	$2K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	20	15	$2K
59025	Fetal non-stress test	<1%	44	25	$1K

16 more codes

76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	<1%	18	$1K
81025		<1%	499	$1K
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	<1%	21	$1K
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	<1%	46	$1K
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	<1%	46	$1K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	60	$603.80
87660		<1%	46	$563.68
87480		<1%	46	$563.68
87510		<1%	46	$563.68
36415	Collection of venous blood by venipuncture	<1%	115	$185.02
84443	Thyroid stimulating hormone (TSH)	<1%	14	$157.83
84702		<1%	13	$129.80
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	18	$107.04
82951		<1%	12	$104.49
99072		0%	981	$0.00
0503F		0%	15	$0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.